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<br />NiTIGEt;)F:bEED RESTRICTIONS: The undersigned understands that this permit may be subject tolideediiJes
<br />w' . .' . ", ~re restrictive than County regulations. The undersigned assumes resporisibiiity for cornpli
<br />a'restrictlons. ....., .',
<br />. 'ONTRACTORS AND CONTRACTOR RESPONSIBILITIES: If.theo~neUl~s.hireHa'
<br />dijrtake work, they may be required to be licensed in accordanceWjt~slate andl()~1 '-..
<br />'!Iqensed as required bylaw, both the owner and contractor maYbecit~af6raffiis'
<br />~,Ifthe owner or Intended contractor are uncertain as to what lI~nsiiig,..r~~llifefi16nf~ /;
<br />"yare advised to contact the Pasco County Building Inspection Di"lslonzU6~n!;if1g~ .... ...... ,....,<1
<br />fe, if the owner has hired a contractor or contractors, he is.advised,J.o have tli@< .'tsl~fr?{'
<br />'ptractor Block" of this application for which they will be responsible; IfYou,asthebW~~tSI99.~sttil:~:
<br />, ay be an indication that he is not properly licensed and is not entitled to permitting prlviiege~in~as~6
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<br />, ..:~fRANI.j(';)N IMPACT/UTILlTIE8..IMPACT AND RESOURCE RECOVERY FEES:. The undersigned understands
<br />'.'.tu'hs:~.l!I"'nr~ Impact Fees and Recourse Recovery Fees may apply to the construction of new buildings, change of
<br />lk . Ings, or expansion of existing buildings, as specified in Pasco County Ordinance number 89-07 and
<br />9O:"()7fas~ ed. The uhderslgned also understands, that such fees, as may be due, will be Identified at tne time of
<br />peh1iittlrig.'lrl~ turther understood that Transportation Impact Fees and Resource Recovery Fees must be paid prior to
<br />re?el\linga,iI~~ftiflcate of occupancy" or final powerrelease. If the project does not involve a certificateof occupancy or
<br />fin~lI power r'ele~se, the fees must be paid prior to permit issuance. Furthermore, if Pasco County Water/Sewer Impact
<br />fe*s are dUei..I~~x.must be paid prior to permit issuance in accordance with applicable Pasco County ordinances.
<br />CONSTRUCTION LIEN LAW (Chapter 713, Florida Statutes, as amended): If valuation of work is $2,500.00 or more, I
<br />certify that I, the applicant, have been provided with a copy of the "Florida Construction Lien Law-Homeowner's
<br />Protection Guide" prepared by the Florida Department of Agriculture and Consumer Affairs. If the applicant is someone
<br />other than the "owner", I certify that I have obtained a copy of the above described document and promise in good faith to
<br />deliver it to the "owner" prior to commencement.
<br />CONTRACTOR'S/OWNER'S AFFIDAVIT: I certify that all the information in this application is accurate and that all work
<br />will be done in compliance with all applicable laws regulating construction, zoning and land development. Application is
<br />hereby made to obtain a permit to do work and installation as indicated. I certify that no work or installation has
<br />commenced prior .to issuance of a permit and that all work will be performed to meet standards of all laws regulating
<br />construction, County and City codes, zoning regulations, and land development regulations in the jurisdiction. I also
<br />certify that I understand that the regulations of other government agencies may apply to the intended work, and that it is
<br />my responsibility to identify what actions I must take to be in compliance. Such agencies include but are not limited to:
<br />Department of Environmental Protection-Cypress Bayheads, Wetland Areas and Environmentally Sensitive
<br />Lands; Water/Wastewater Treatment.
<br />Southwest Florida Water Management District-Wells, Cypress Bayheads, Wetland Areas, Altering
<br />Watercourses.
<br />Army Corps of Engineers-Seawalls, Docks, Navigable Waterways.
<br />Department of Health & Rehabilitative Services/Environmental Health Unit-Wells, Wastewater Treatment,
<br />Septic Tanks.
<br />US Environmental Protection Agency-Asbestos abatement.
<br />Federal Aviation Authority-Runways.
<br />I understand that the following restrictions apply to the use of fill:
<br />Use of fill is not allowed in Flood Zone "V" unless expressly permitted.
<br />If the fill material is to be used in Flood Zone "A", it is understood that a drainage plan addressing a
<br />"compensating volume" will be submitted at time of permitting which is prepared by a professional engineer
<br />licensed by the State of Florida.
<br />If the fill material is to be used in Flood Zone "An in connection with a permitted building using stem wall
<br />construction, I certify that fill will be used only to fill the area within the stem wall.
<br />If fill material Is to be used in any area, I certify that use of such fill will not adversely affect adjacent
<br />properties. If use of fill is found to adversely affect adjacent properties, the owner may be cited for violating
<br />the conditions of the building permit issued under the attached permit application, for lots less than one (1)
<br />acre which are elevated by fill, an engineered drainage plan is required.
<br />If I am the AGENT FOR THE OWNER, I promise in good faith to inform the owner of the permitting conditions set forth in
<br />this affidavit prior to commencing construction. I understand ~hat a s.eparate perm~t may ?e requir~d for elect~ica.1 work,
<br />plumbing, signs, wells, pools, air conditioning, gas, or other ~nstallatlons not speCifically In?luded.ln the application. A
<br />permit Issued shall be construed to be a license to proceed with the work a~d not as authorlo/ !o vlolat~, cancel, alter, or
<br />set aside any provisions of the technical codes, nor shall issuance of a permit prevent the B~II.dlng OffiCial from the~eaft~r
<br />requiring a correction of errors in plans, construction or violations of any codes. Every permit Issued. shall become. Invalid
<br />unless the work authorized by such permit is commenced within six months of permit issu~nce, or If work authorized. by
<br />the permit is suspended or abandoned for a period of six (6) months after the time th~ work IS commenced: An extension
<br />may be requested, in writing, from the Building Official for a period not t~ exceed n1n~ty ~90) da~s and will demonstrate
<br />justifiable cause for the extension. If work ceases for ninety (90) consecutive days, the Job IS conSidered abandoned.
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<br />WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
<br />PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
<br />WITH YOUR LENDER OR AN ATTORNEY B FORE RECORDING YOUR NOTICE OF COMMENCEMENT.
<br />FLORIDA JURAT (F. . 1 03)
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<br />CONTRACTOR
<br />Subscribed and sworn to (or affirmed) before me this
<br />by
<br />Who Is/are personally known to me or has/have produced
<br />as Identification.
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<br />Notary Public
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<br />Commission No.
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<br />Name of Notary typed. printed or stamped
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